Expectant treatment for angular pregnancy after assisted reproduction technology: a safe and patient-friendly treatment strategy

Frontiers in Medicine

Medicine

Peiwen Yang¹  Lin Shen¹  Jihui Ai²  Yiqing Zhao² 

[1] Reproductive Medicine Center, Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;null;

关键词: angular pregnancy;    expectant treatment;    live birth;    term birth;    assisted reproductive technology;   

DOI  :  10.3389/fmed.2023.1234425

 received in 2023-06-04, accepted in 2023-08-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionCurrently, the treatment strategies for angular pregnancy in the first trimester after assisted reproduction technology (ART) are unclear. Improper treatment will cause unnecessary losses to patients, especially infertile patients, after ART. The purpose of this study was to clarify the pregnancy outcomes of expectant treatment for angular pregnancy post-ART and to provide a basis for the formulation of clinical treatment strategies.MethodThis retrospective case series study was performed at the Reproductive Medicine Center of a university hospital. Maternal data and pregnancy outcomes were collected and analyzed for all patients diagnosed with angular pregnancies after ART between January 2016 and August 2021. The outcomes included live birth, term birth, premature birth, early pregnancy loss, fetal death, placental abruption, uterine rupture, maternal death, and hysterectomy.ResultsA total of 78 patients were analyzed in this study, of whom 54 (69.2%) had live births, 44 (56.4%) had term births, 21 (26.9%) had an early pregnancy loss, 1 (1.3%) had mid-trimester missed abortion, 1 (1.3%) underwent mid-trimester labor induction due to fetal malformation, and 1 (1.3%) underwent uterine rupture. There were no cases of maternal death, placental abruption, or hysterectomies.DiscussionAngular pregnancy after ART is not as dangerous as that described in previous studies; most cases could be treated expectantly under close-interval follow-up and obtain live birth.

【 授权许可】

Unknown   
Copyright © 2023 Yang, Shen, Ai and Zhao.